What Is Menopause?
Menopause is a natural life stage in which the ovaries permanently stop producing hormones like estrogen and progesterone, leading to widespread effects across various systems of the body. It marks a profound transformation not only physically but also mentally and emotionally.
According to the World Health Organization, women’s life expectancy has increased, making the postmenopausal years account for approximately one-third of a woman’s life. For this reason, menopause should not be seen as a temporary hormonal deficiency but as a physiological and multidimensional process that requires informed monitoring, personalized approaches, and systematic support.
Menopause typically begins with the perimenopausal phase, when hormone fluctuations start—usually in the early 40s—and can begin 4 to 8 years before menopause. In the early stage, menstrual irregularities, mild hot flashes, insomnia, brain fog, and mood changes may occur, with symptoms potentially intensifying over time.
Menopause is officially diagnosed after 12 consecutive months without menstruation. The postmenopausal phase then begins and lasts for the remainder of a woman’s life, with long-term health risks due to a marked decline in estrogen.
Changes During Menopause
Menopause can significantly impact nearly every system in the body. The most common symptoms include hot flashes, night sweats, sleep disturbances, vaginal dryness, mood swings, and brain fog.
These symptoms affect more than 75% of women—lasting only a few years for some and up to a decade for others.
Additionally, during this time:
- The nervous system may be affected: Concentration difficulties, memory issues, and depression may arise.
- The heart and metabolism may be impacted: Changes in cholesterol, abdominal fat accumulation, and insulin resistance are common.
- Bones and muscles may weaken: The risk of osteopenia and osteoporosis increases, and muscle mass may decrease.
- Skin and mucous membranes may dry out: Thinning skin, vaginal atrophy, and increased bruising may be observed.
- The immune system may become more sensitive: Certain autoimmune conditions can become more pronounced.
These systemic changes show that menopause is not merely a hormonal transition but a life stage that affects overall health balance.
A Holistic Approach Before and After Menopause
To ensure a healthier, more comfortable, and active menopausal journey, it is important to start preventive care early and apply personalized monitoring strategies.
Regular health check-ups starting in the 40s are essential. Monitoring hormone levels, bone density (DEXA), lipid profiles, vitamin and mineral levels, pelvic ultrasonography, and cognitive evaluations when needed provide a strong foundation for future well-being.
Following these assessments, a customized care and support plan is developed for each woman. Treatment is tailored based on the individual’s symptom profile, hormonal status, medical history, and lifestyle factors:
- When appropriate, bioidentical hormone replacement therapy (HRT) is prescribed according to international guidelines. Estrogen and progesterone may be administered orally, transdermally, or vaginally depending on the patient’s health status and preferences. The method of administration is selected based on effectiveness, safety, and lifestyle compatibility.
- For women who are not candidates for or prefer to avoid HRT, alternatives such as herbal supplements, local vaginal treatments, and certain neuroregulatory medications (like low-dose antidepressants) proven to relieve hot flashes and mood changes may be considered.
- Lifestyle modifications are an essential component of care. Personalized nutrition plans, regular physical activity, quality sleep practices, and stress management techniques greatly support this transition.
- Supportive therapies are planned according to individual needs. These may include essential mineral supplements (vitamin D, calcium, magnesium) and natural compounds that support cognitive performance (such as adaptogenic herbs and nootropics).
With timely preventative measures and science-based personalized care, menopause can become a period of renewed balance that strengthens a woman’s health and enhances her quality of life.
When to Consult a Physician
In addition to routine check-ups, it is recommended to consult a physician for menopause evaluation if you experience any of the following:
- Menstrual irregularities or unexpected bleeding after age 40
- Hot flashes, night sweats, insomnia, or forgetfulness
- Mood swings, anxiety, or fatigue
- Vaginal dryness, low libido, or painful intercourse
- Noticeable weight gain, especially around the abdomen
- Family history of osteoporosis, heart disease, or early menopause
When approached at the right time, menopause is not a challenge—it can be a transformative opportunity for women to reclaim strength and vitality.
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